An cholangiogram percutaneous compl at Sycamore Shoals Hospital
1501 W. ELK AVE., ELIZABETHTON, TN · Balladhealth · · NPI 1891801734
$1,027.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$6,848.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$578.00 with BLUE CROSS vs $7,081.52 with AMBETTER — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BLUE CROSS | TENNCARE BLUE CARE | $578.00 | ↓ -44% |
| CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $1,266.00 | ↑ +23% |
| CIGNA HEALTHCARE | CIGNA HMO | $1,266.00 | ↑ +23% |
| CIGNA HEALTHCARE | CIGNA PPO | $1,406.00 | ↑ +37% |
| CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $1,463.00 | ↑ +42% |
| BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $1,523.00 | ↑ +48% |
| UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $1,850.00 | ↑ +80% |
| SENTARA HEALTH | SENTARA HEALTH | $1,905.11 | ↑ +85% |
| OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | $2,395.44 | ↑ +133% |
| BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | $2,395.44 | ↑ +133% |
| MEDCOST | MEDCOST VHN | $2,396.80 | ↑ +133% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA | $2,491.25 | ↑ +143% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | $2,491.26 | ↑ +143% |
| AMERIGROUP | AMERIGROUP | $2,688.64 | ↑ +162% |
| HUMANA | HUMANA MEDICARE | $3,248.41 | ↑ +216% |
| UNITED MINE WORKERS OF AMERICA | UNITED MINE WORKERS OF AMERICA | $3,248.41 | ↑ +216% |
| SENTARA HEALTH | SENTARA MEDICARE | $3,248.41 | ↑ +216% |
| UNITED HEALTHCARE | UNITED HEALTHCARE MEDICARE | $3,248.41 | ↑ +216% |
| AETNA | AETNA BETTER HEALTH OF VIRGINIA MEDICARE | $3,248.41 | ↑ +216% |
| AETNA | AETNA HEALTHCARE MEDICARE | $3,248.41 | ↑ +216% |
| ALLCARE MEDICARE | ALLCARE MEDICARE | $3,248.41 | ↑ +216% |
| AMERIGROUP | AMERIGROUP MEDICARE WELLPOINT | $3,248.41 | ↑ +216% |
| MANAGED MEDICAIRE | MANAGED MEDICAIRE | $3,248.41 | ↑ +216% |
| BLUE CROSS | ANTHEM MEDICARE VIRGINIA | $3,345.86 | ↑ +226% |
| MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICARE | $3,378.34 | ↑ +229% |
| BLUE CROSS | BLUE CROSS MEDICARE | $3,378.34 | ↑ +229% |
| DEVOTED HEALTH PLAN | DEVOTED HEALTH PLAN MEDICARE | $3,410.83 | ↑ +232% |
| NHC ADVANTAGE | NHC ADVANTAGE | $3,410.83 | ↑ +232% |
| CIGNA HEALTHCARE | CIGNA MEDICARE | $3,410.83 | ↑ +232% |
| WELLCARE | WELLCARE MEDICARE | $3,443.31 | ↑ +235% |
| AETNA | AETNA | $4,369.02 | ↑ +325% |
| UNITED HEALTHCARE | UHC HERITAGE SELECT | $5,125.00 | ↑ +399% |
| FIRST HEALTH COVENTRY | FIRST HEALTH COVENTRY | $5,136.00 | ↑ +400% |
| BLUE CROSS | BLUE CROSS E NETWORK | $5,829.00 | ↑ +467% |
| UNITED HEALTHCARE | UHC HERITAGE RIVER VALLEY | $5,849.00 | ↑ +469% |
| BLUE CROSS | BLUE CROSS P NETWORK | $5,952.00 | ↑ +479% |
| BLUE CROSS | BLUE CROSS S NETWORK | $5,952.00 | ↑ +479% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $6,848.00 | ↑ +567% |
| WELLCARE | WELLCARE MEDICAID | $6,848.00 | ↑ +567% |
| SEVEN CORNERS, INC. | SEVEN CORNERS, INC. | $6,848.00 | ↑ +567% |
| AMBETTER | AMBETTER | $7,081.52 | ↑ +589% |
Visitor-reported prices
Comments
An cholangiogram percutaneous compl at other Tennessee hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Thomas Midtown | Nashville | $1,391.54 | $733.50 – $998.50 |
| CHI Memorial Hospital Hixson | Hixson | $431.57 | $291.60 – $1,020.60 |
| CHI Memorial Hospital Chattanooga | Chattanooga | $616.74 | $306.18 – $1,020.60 |
| Johnson City Medical Center | JOHNSON CITY | $1,027.20 | $2,207.52 – $7,283.43 |
| Ascension Saint Thomas DeKalb | Smithville | $1,391.54 | $175.86 – $1,004.50 |
| Ascension Saint Thomas River Park | McMinnville | $1,391.54 | $175.86 – $1,004.50 |
| Ascension Saint Thomas Rutherford | Murfreesboro | $1,391.54 | $954.50 – $1,004.50 |
| Greeneville Community Hospital | GREENEVILLE | $1,027.20 | $2,395.44 – $7,283.43 |